Topics:
Radiation Oncology • Genitourinary Cancers
How would you treat a patient with retroperitoneal lymphadenopathy that has been biopsy proven metastatic seminoma, who is not a candidate for orchiectomy, RPLND, or systemic therapy?
Testicular imaging was negative for suspicious mass. Would you treat the bilateral testes with radiation in addition to the PA field? Would you treat with bilateral modified dogleg?
Answer from: Radiation Oncologist at Community Practice
Very unusual case, but primary seminomas can be found in sites other than the testes. Of non-testicular primary sites, the mediastinum is probably the most well-known but other sites including the retroperitoneum have been described in the literature.
Various theories for how these develop include ...
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